将不良童年经历和其他风险因素与人口老龄化中的主观认知衰退联系起来
Hailey Voyer1,2, Semra Aytur3, Nicole Tanda1
1The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, New Hampshire.
Preventing chronic disease
|December 21, 2023
概括
老年人的主观认知衰退 (SCD) 与抑郁症,糖尿病,跌倒和不良童年经历 (ACE) 有关. 解决这些可修改的因素可以支持健康的大脑衰老.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 流行病学 流行病学
背景情况:
- 美国人口老龄化正在增加,需要制定解决主观认知衰退 (SCD) 的策略.
- 疾病控制和预防中心的健康大脑倡议 (HBI) 促进了对认知健康的跨学科方法.
- 了解SCD可修改的风险因素对于公共卫生干预至关重要.
研究的目的:
- 评估主观认知衰退 (SCD) 和不良童年经历 (ACE) 之间的关联.
- 确定与SCD相关的其他可修改的社会人口统计学,行为和临床风险因素.
- 为了支持健康大脑倡议的实施.
主要方法:
- 使用多变量逻辑回归分析.
- 来自2020年行为风险因素监测系统 (BRFSS) 调查的雇员数据.
- 权重模型可以解释复杂的调查设计,并确保代表性调查结果.
主要成果:
- 大约8.1%的受访者在过去12个月报告了SCD.
- 在SCD和抑郁症,关节炎,糖尿病,频繁跌倒,延长睡眠时间和身体不活动之间发现了重要的关联.
- 经历两个或两个以上的ACE显著增加了SCD的几率 (AOR,1.69).
结论:
- 研究结果可以为政策和干预措施提供信息,通过解决可修改的风险因素来促进健康老龄化.
- 童年不良经历 (ACE) 是整个生命过程中大脑健康的重要决定因素.
- 临床和社区干预应考虑ACE对认知健康的长期影响.
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